Emergency visit, high (level 4) at Essentia Health-St. Mary's Children's Hospital (Duluth). CPT 99284.
What Essentia Health-St. Mary's Children's Hospital (Duluth) publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$812cash price (self-pay)
$1,231list price
$407–$1,059range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medica Access | Medicaid | $407 |
| Itasca Med Care | Medicaid | $426 |
| Primewest | Medicaid | $427 |
| Advocare/Security Health | Medicare | $427 |
| BLUE CROSS MEDICARE ADVANTAGE CORE | Medicare | $427 |
| Freedom Blue PPO | Medicare | $427 |
| HEALTHPARTNERS CARE MSHO / MCR ADV | Medicare | $427 |
| IMCARE MSHO (REF REQ) | Medicare | $427 |
| IMCARE MSHO PCC PRIME | Medicare | $427 |
| IMCARE MSHO REF REQ | Medicare | $427 |
| MEDICA ADVANTAGE SOLUTIONS | Medicare | $427 |
| MEDICA MSHO/Dual Solutions | Medicare | $427 |
| MEDICA PRIME SOLUTION GROUP | Medicare | $427 |
| MEDICARE ADV PFFS | Medicare | $427 |
| ND VA ADMINISTRATION | Medicare | $427 |
| OUT OF STATE BCBS MEDICARE ADVANTAGE | Medicare | $427 |
| PRIMEWEST MSHO | Medicare | $427 |
| Platinum Blue / Vantage Blue | Medicare | $427 |
| SECURE BLUE MSHO | Medicare | $427 |
| SECURITY HEALTH MEDICARE | Medicare | $427 |
| HealthPartners CARE PMAP | Medicaid | $490 |
| Blue Plus PMAP PCC Prime | Medicaid | $543 |
| BCBS Mn | Shp | $544 |
| Sanford Health Plan | Commercial-NDPERS | $641 |
| Sanford Health Plan | Commercial | $655 |
| Medica Uplan | Commercial | $681 |
| Medica | Commercial-FI | $681 |
| Medica | Commercial-SI | $699 |
| HealthPartners | SHP | $737 |
| Medica Choice | Commercial | $752 |
Inpatient
$812cash price (self-pay)
$1,231list price
$528–$1,059range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Sanford Health Plan | Commercial-NDPERS | $528 |
| BCBS Mn | Shp | $544 |
| Sanford Health Plan | Commercial | $556 |
| Blue Plus PMAP PCC Prime | Medicaid | $616 |
| MN BCBS Commercial | BCBS MN | $677 |
| UCare | Commercial | $810 |
| WEA | Commercial-Narrow Network | $886 |
| BCBS WI | Commercial | $936 |
| Security Health | Commercial | $948 |
| WEA | Commercial | $948 |
| America's PPO | Commercial | $954 |
| WPS | Commercial | $1,022 |
| Aetna First Health | Commercial | $1,046 |
| HealthScope Benefits | Commercial | $1,046 |
| HealthEOS | Commercial | $1,059 |
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All common services at Essentia Health-St. Mary's Children's Hospital (Duluth)